The program environment scale: Assessing client perceptions of community-based programs for the severely mentally ill
The program environment scale: Assessing client perceptions of community-based programs for the severely mentally ill
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DOI：
10.1023/a:1022246112973
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发表时间：
1998-12-01
影响因子：
3.1
通讯作者：
Hargreaves, WA
中科院分区：
文献类型：
--
作者：
Burt, MR;Duke, AE;Hargreaves, WA
项目环境量表（PES）是为社区严重精神疾病项目的客户开发的。它旨在填补现有工具的空白，以评估客户对项目功能的看法，因为它影响了他们在项目中的“生活质量”。在华盛顿特区附近的12个随机选择的项目中，对121名客户进行了正式的预测试。最后的现场测试使用修改后的表格（29个领域，129个项目），在美国随机选择22个项目的221个客户。，包括会所、日间治疗、心理康复和社交俱乐部项目。23个分量表至少满足内部一致性和判别效度的8个心理测量标准中的5个。第24个分量表因其实质性重要性而被保留。成功的子量表包括项目氛围和互动（项目关心我，能量水平友好，开放性，员工-客户和客户-客户尊重，合理规则，积极身体接触的可用性，防止不良接触的保护，员工对工作的投入，以及保密性），客户授权/员工-客户平等（项目和治疗授权平等的空间使用），以及服务组成部分(对有偿工作的支持，工作重要性，紧急访问，家庭活动、住房、公共福利、社区活动、药物、药物滥用和连续性)。子量表效度通过特定服务产品与测量客户对这些服务的感知的量表得分的关联来表示，并通过区分项目模型的能力来表示（即，会所、日间治疗项目和心理社会康复项目看起来彼此不同）。子量表得分不受来访者特征（性别、种族、年龄、诊断、住院次数、项目时间长短）的影响。最终量表有97个项目，大约需要25分钟才能完成。PES成功地衡量了客户对项目的不同看法，在我们访问的项目中，主管们认为PES涵盖了他们想知道的客户对项目看法的重要方面。PES应该成为一个有用的工具，无论是对研究客户对项目的反应如何影响其治疗结果感兴趣的研究人员，还是对改善客户的项目体验和/或增加工作人员和客户对项目看法的融合感兴趣的从业人员。
The Program Environment Scale (PES) was developed for use with clients of community-based programs for the severely mentally ill. It is intended to fill the gap in available tools for assessing clients' perceptions of program functioning as it affects their "quality of life" in a program. Formal pretests were conducted with 121 clients at 12 randomly selected programs near Washington, DC. The final field test used a revised form (29 domains; 129 items) with 221 clients in 22 programs selected randomly throughout the U;S., including Clubhouse, day treatment, psychosocial rehabilitation and social club programs. Twenty-three subscales met at least five of eight psychometric criteria for internal consistency and discriminant validity A 24th subscale was retained because of its substantive importance. Successful subscales cover program atmosphere and interactions (program cares about me, energy level friendliness, openness, staff-client and client-client respect, reasonable rules, availability of positive physical contact, protection from bad touch, staff investment in their jobs, and confidentiality), client empowerment/staff-client equality (program and treatment empowerment egalitarian space use), and service components (support for paid work, work importance, emergency access, family activities, housing, public benefits, community activities, medications, substance abuse, and continuity). Subscale validity is indicated by associations of specific service offerings with scores on scales measuring client perceptions of those services, and by an ability to differentiate among program models (i.e., Clubhouses, day treatment programs, and psychosocial rehabilitation programs look different from each other). Subscale scores were not influenced by client characteristics (gender race, age, diagnosis, number of hospitalizations, length of time in program). The final scale has 97 items and takes about 25 minutes to complete. The PES succeeds in measuring different aspects of programs as clients perceive them, lit the programs we visited directors felt the PES covers the important things they want to know about how clients perceive their program. The PES should become a useful tool both for researchers interested in how client responses to programs may influence their therapeutic outcomes, and for practitioners interested in improving their clients' program experiences and/or increasing convergence of staff and client views of their program.